Lao (A1) – 60′
\nC\u00e2u 1:\u00a0<\/b>Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a lao s\u01a1 nhi\u1ec5m
\nC\u00e2u 2:<\/b>\u00a0Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a lao h\u1ea1ch.
\nC\u00e2u 3:<\/b>\u00a0Tr\u00ecnh b\u00e0y c\u1eadn l\u00e2m s\u00e0ng c\u1ee7a lao s\u01a1 nhi\u1ec5m<\/p>\n
R\u0103ng – H\u00e0m – M\u1eb7t (A1) – 90′
\nC\u00e2u 1:<\/b>\u00a0Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1c th\u1ec3 l\u00e2m s\u00e0ng s\u00e2u r\u0103ng
\nC\u00e2u 2:<\/b>\u00a0Tr\u00ecnh b\u00e0y d\u1ef1 ph\u00f2ng b\u1ec7nh nha chu vi\u00eam
\nC\u00e2u 3:<\/b>\u00a0Tr\u00ecnh b\u00e0y c\u00e1c nguy\u00ean nh\u00e2n ngo\u1ea1i lai v\u00e0 n\u1ed9i t\u1ea1i c\u1ee7a d\u1ecb t\u1eadt b\u1ea9m sinh v\u00f9ng h\u00e0m m\u1eb7t
\nC\u00e2u 4:<\/b>\u00a0Tr\u00ecnh b\u00e0y nguy\u00ean nh\u00e2n vi\u00eam nhi\u1ec5m v\u00f9ng mi\u1ec7ng – h\u00e0m m\u1eb7t (do r\u0103ng, do nha chu, nguy\u00ean nh\u00e2n kh\u00e1c)<\/p>\n
Truy\u1ec1n nhi\u1ec5m 1 (A2) – 90′
\nC\u00e2u 1:<\/b>\u00a0M\u00f4 t\u1ea3 c\u00e1c h\u00ecnh th\u00e1i d\u1ecbch t\u1ec5 h\u1ecdc, t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh v\u00e0 c\u00e1ch l\u00e2y truy\u1ec1n b\u1ec7nh truy\u1ec1n nhi\u1ec5m.
\nC\u00e2u 2:<\/b>\u00a0T\u00ecnh hu\u1ed1ng:
\nB\u1ec7nh nh\u00e2n nam, 30 tu\u1ed5i, l\u00e0m n\u00f4ng. P=58kg.
\n\u0110\u1ecba ch\u1ec9: 12\/1 YJut – Tp. Bu\u00f4n Ma Thu\u1ed9t – \u0110\u0103k L\u0103k
\nB\u1ec7nh \u1edf nh\u00e0 2 ng\u00e0y v\u1edbi: \u0111au b\u1ee5ng qu\u1eb7n t\u1eebng c\u01a1n, \u0111i c\u1ea7u ph\u00e2n nh\u1ea7y m\u00e1u 5 l\u1ea7n\/ng\u00e0y, k\u00e8m m\u00f3t r\u1eb7ng.
\nKh\u00f4ng s\u1ed1t. Ch\u01b0a \u0111i\u1ec1u tr\u1ecb g\u00ec. Xin nh\u1eadp vi\u1ec7n. V\u00e0o khoa NHI\u1ec4M l\u00fac 6h15.
\nT\u00ecnh tr\u1ea1ng v\u00e0o vi\u1ec7n: t\u1ec9nh t\u00e1o, nhi\u1ec7t \u0111\u1ed9 37, m\u1ea1ch 72l\/ph, HA 110\/70mmHg, nh\u1ecbp th\u1edf 20l\/ph.
\nM\u1ec7t m\u1ecfi, \u0111i c\u1ea7u li\u00ean t\u1ee5c, ph\u1ea7n nh\u1ea7y m\u0169i m\u00e1u.
\nX\u00e9t nghi\u1ec7m m\u00e1u: HC 4,2 tri\u1ec7u, hct 43%, hb 12g\/dl
\nTC 290.000
\nBC 5.400 (N 62%, L 38%)
\nX\u00e9t nghi\u1ec7m ph\u00e2n: HC (++++)
\nBC (++++)
\nE.histolytica magna (+)
\nY\u00eau c\u1ea7u: 1. Ch\u1ea9n \u0111o\u00e1n v\u00e0 bi\u1ec7n lu\u1eadn
\n2. Vi\u1ebft y l\u1ec7nh \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 khi b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n
\nC\u00e2u 3:<\/b>\u00a0T\u00ecnh hu\u1ed1ng:
\nB\u1ec7nh nh\u00e2n nam, 58 tu\u1ed5i. \u0110\u1ecba ch\u1ec9 p. T\u1ef1 An – Tp. BMT – \u0110\u0103k L\u0103k
\nL\u00fd do v\u00e0o vi\u1ec7n: Co gi\u1eadt. P=50kg
\nB\u1ec7nh N3, nh\u1eadp khoa nhi\u1ec5m l\u00fac 5h35.
\nN1: Nu\u1ed1t kh\u00f3, n\u00f3i kh\u00f3
\nN2: Kh\u00f3 nhai, h\u00e1 h\u00e0m kh\u00f3
\nN3: C\u1ee9ng h\u00e0m,\u00a0\u0111ang l\u00ean c\u01a1n co gi\u1eadt to\u00e0n th\u00e2n.<\/b>
\nTi\u1ec1n s\u1eed: M\u1ed5 ru\u1ed9t th\u1eeba vi\u00eam c\u00e1ch nh\u1eadp vi\u1ec7n 15 ng\u00e0y, ch\u01b0a \u0111\u01b0\u1ee3c ti\u00eam SAT v\u00e0 VAT
\nKh\u00e1m: T\u1ec9nh, nhi\u1ec7t \u0111\u1ed9 38,9, m\u1ea1ch 121l\/ph, HA 120\/80mmHg. V\u1ebft m\u1ed5 \u01b0\u1edbt, ch\u1ea3y m\u1ee7, h\u00e0m h\u00e1 1cm.
\nCLS: HC 4,25 tri\u1ec7u, hct 41%. BC 10500 (N 75%, L 25%). TC 215.000
\nC\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng.
\nY\u00eau c\u1ea7u: 1. Ch\u1ea9n \u0111o\u00e1n v\u00e0 bi\u1ec7n lu\u1eadn
\n2. Vi\u1ebft y l\u1ec7nh \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 khi b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n
\nC\u00e2u 4:<\/b>\u00a0M\u00f4 t\u1ea3 c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh c\u00fam. B\u1ec7nh c\u00fam do virus A H5N1 c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m g\u00ec kh\u00e1c so v\u1edbi b\u1ec7nh c\u00fam m\u00f9a?
\nC\u00e2u 5:<\/b>\u00a0T\u00ecnh hu\u1ed1ng:
\nM\u1ed9t b\u1ec7nh nh\u00e2n nam 54 tu\u1ed5i, l\u00e0m vi\u1ec7c t\u1ea1i l\u00f2 quay heo \u1edf Bu\u00f4n Ma Thu\u1ed9t, nh\u1eadp vi\u1ec7n v\u00e0o ng\u00e0y 2 c\u1ee7a b\u1ec7nh trong t\u00ecnh tr\u1ea1ng l\u01a1 m\u01a1, s\u1ed1t 38.50C, c\u1ed5 g\u01b0\u1ee3ng. Cho bi\u1ebft ch\u1ea9n \u0111o\u00e1n s\u01a1 b\u1ed9 c\u1ee7a b\u1ec7nh n\u00e0y v\u00e0 c\u00e1ch x\u1eed l\u00fd ban \u0111\u1ea7u.<\/p>\n
N\u1ed9i th\u1ea7n kinh (A1, A2) – 60′
\nC\u00e2u 1:\u00a0<\/b>Tr\u00ecnh b\u00e0y v\u1ecb tr\u00ed ch\u1ea3y m\u00e1u (xu\u1ea5t huy\u1ebft) trong nhu m\u00f4 n\u00e3o v\u00e0 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng t\u01b0\u01a1ng \u1ee9ng.
\nC\u00e2u 2:\u00a0<\/b>Tr\u00ecnh b\u00e0y \u0111\u1ecbnh ngh\u0129a c\u01a1n \u0111\u1ed9ng kinh, \u0111\u1ecbnh ngh\u0129a b\u1ec7nh \u0111\u1ed9ng kinh, c\u00e1c nguy\u00ean nh\u00e2n b\u1ec7nh \u0111\u1ed9ng kinh.<\/p>\n
Da li\u1ec5u (A1, A3) – 60′
\nC\u00e2u 1:<\/b>\u00a0Tr\u00ecnh b\u00e0y c\u01a1 ch\u1ebf b\u1ec7nh sinh, m\u1ed9t s\u1ed1 thu\u1ed1c hay g\u00e2y d\u1ecb \u1ee9ng v\u00e0 ph\u00e2n bi\u1ec7t c\u00e1c ban do thu\u1ed1c kh\u00f4ng c\u00f3 c\u01a1 ch\u1ebf mi\u1ec5n d\u1ecbch c\u1ee7a d\u1ecb \u1ee9ng da do thu\u1ed1c – h\u00f3a m\u1ef9 ph\u1ea9m
\nC\u00e2u 2:<\/b>\u00a0M\u00f4 t\u1ea3 ph\u1ea3n \u1ee9ng Mitsuda v\u00e0 th\u1eed nghi\u1ec7m r\u1ea1ch da trong b\u1ec7nh phong<\/p>\n
PH\u1ee4C H\u1ed2I CH\u1ee8C N\u0102NG LT (A1, A2, A3) – 60′
\nC\u00c2U 1:\u00a0<\/b>Tr\u00ecnh b\u00e0y c\u00e1ch ph\u00f2ng ng\u1eeba c\u00e1c th\u01b0\u01a1ng t\u1eadt th\u1ee9 c\u1ea5p th\u01b0\u1eddng g\u1eb7p s\u1edbm nh\u1ea5t.
\nC\u00c2U 2:\u00a0<\/b>Tr\u00ecnh b\u00e0y c\u00e1ch ch\u0103m s\u00f3c v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng cho b\u1ec7nh nh\u00e2n t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng giai \u0111o\u1ea1n 1.
\nC\u00c2U 3:\u00a0<\/b>Tr\u00ecnh b\u00e0y \u0111\u1ecbnh ngh\u0129a (cho v\u00ed d\u1ee5) t\u00ecnh tr\u1ea1ng khi\u1ebfm khuy\u1ebft, gi\u1ea3m ch\u1ee9c n\u0103ng, t\u00e0n t\u1eadt
\nC\u00c2U 4:\u00a0<\/b>N\u00eau t\u00e1c d\u1ee5ng, ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng, v\u1eadn \u0111\u1ed9ng ch\u1ee7 \u0111\u1ed9ng c\u00f3 tr\u1ee3 gi\u00fap, v\u1eadn \u0111\u1ed9ng ch\u1ee7 \u0111\u1ed9ng.<\/p>\n
M\u1eaft (A2, A3) – 60′
\nC\u00e2u 1:\u00a0<\/b>Tr\u00ecnh b\u00e0y c\u1ea5u t\u1ea1o l\u1edbp x\u01a1 (gi\u00e1c \u2013 c\u1ee7ng m\u1ea1c) c\u1ee7a nh\u00e3n c\u1ea7u?
\nC\u00e2u 2:\u00a0<\/b>N\u00eau s\u01a1 l\u01b0\u1ee3c v\u1ec1 nh\u00e3n \u00e1p v\u00e0 gi\u1ea3i ph\u1eabu g\u00f3c ti\u1ec1n ph\u00f2ng?
\nC\u00e2u 3:\u00a0<\/b>\u0110\u1ecbnh ngh\u0129a th\u1ecb l\u1ef1c v\u00e0 m\u1edd m\u1eaft?
\n
\nT\u00e2m th\u1ea7n (A2) – 60′
\nC\u00e2u 1:\u00a0<\/b>Tr\u00ecnh b\u00e0y kh\u00e1i ni\u1ec7m, ph\u00e2n lo\u1ea1i hoang t\u01b0\u1edfng. Cho v\u00ed d\u1ee5 minh h\u1ecda. (3\u0111)
\nC\u00e2u 2:\u00a0<\/b>T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t l\u00e0 g\u00ec? Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n TTPL theo ICD-10. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t. (4\u0111)
\nC\u00e2u 3:\u00a0<\/b>Tr\u00ecnh b\u00e0y kh\u00e1i ni\u1ec7m, ph\u00e2n lo\u1ea1i, c\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh v\u00e0 k\u1ef9 n\u0103ng c\u1ee7a ng\u01b0\u1eddi c\u00f4ng t\u00e1c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng cho b\u1ec7nh nh\u00e2n t\u00e2m th\u1ea7n. (3\u0111)<\/p>\n
Ch\u01b0\u01a1ng tr\u00ecnh y t\u1ebf qu\u1ed1c gia – 60′
\nA1
\nC\u00e2u 1:<\/b>\u00a0C\u00e1c d\u1ea1ng ph\u01a1i nhi\u1ec5m HIV v\u00e0 quy tr\u00ecnh x\u1eed l\u00fd v\u1ebft th\u01b0\u01a1ng t\u1ea1i ch\u1ed7 sau ph\u01a1i nhi\u1ec5m
\nC\u00e2u 2:\u00a0<\/b>Tr\u00e1ch nhi\u1ec7m c\u1ee7a b\u1ed9 k\u1ebf ho\u1ea1ch v\u00e0 \u0111\u1ea7u t\u01b0 trong qu\u1ea3n l\u00fd ch\u01b0\u01a1ng tr\u00ecnh m\u1ee5c ti\u00eau qu\u1ed1c gia
\nA2
\nC\u00e2u 1:\u00a0<\/b>L\u1ecbch ti\u00eam ch\u1ee7ng trong ch\u01b0\u01a1ng tr\u00ecnh ti\u00eam ch\u1ee7ng m\u1edf r\u1ed9ng c\u1ee7a Vi\u1ec7t Nam d\u00e0nh cho tr\u1ebb em v\u00e0 l\u1ecbch ti\u00eam ch\u1ee7ng u\u1ed1n v\u00e1n cho ph\u1ee5 n\u1eef mang thai v\u00e0 trong \u0111\u1ed9 tu\u1ed5i sinh \u0111\u1ebb
\nC\u00e2u 2:\u00a0<\/b>5 giai \u0111o\u1ea1n c\u1ee7a chu tr\u00ecnh d\u1ef1 \u00e1n
\n
\nTai m\u0169i h\u1ecdng (A3)
\nC\u00e2u 1:\u00a0<\/b>Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam xoang tr\u01b0\u1edbc c\u1ea5p t\u00ednh
\nC\u00e2u 2:\u00a0<\/b>Tr\u00ecnh b\u00e0y bi\u1ebfn ch\u1ee9ng c\u1ee7a vi\u00eam amidal m\u1ea1n t\u00ednh
\n
\nD\u1ecb \u1ee9ng (A3)
\nC\u00e2u 1:\u00a0<\/b>Ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3i m\u1eabn c\u1ea3m
\nC\u00e2u 2:<\/b>\u00a0Ph\u00e2n lo\u1ea1i c\u01a1 ch\u1ebf tuyp d\u1ecb \u1ee9ng thu\u1ed1c v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m d\u1ecb \u1ee9ng thu\u1ed1c<\/p>\n","protected":false},"excerpt":{"rendered":"
Lao (A1) – 60′ C\u00e2u 1:\u00a0Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a lao s\u01a1 nhi\u1ec5m C\u00e2u 2:\u00a0Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a lao h\u1ea1ch. C\u00e2u 3:\u00a0Tr\u00ecnh b\u00e0y c\u1eadn l\u00e2m s\u00e0ng c\u1ee7a lao s\u01a1 nhi\u1ec5m R\u0103ng – H\u00e0m – M\u1eb7t (A1) – 90′ C\u00e2u 1:\u00a0Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1c th\u1ec3 l\u00e2m s\u00e0ng s\u00e2u r\u0103ng …<\/p>\n","protected":false},"author":11,"featured_media":4495,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[115],"tags":[],"class_list":["post-1403","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-de-thi-y-da-khoa-nam-5"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/1403","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=1403"}],"version-history":[{"count":1,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/1403\/revisions"}],"predecessor-version":[{"id":1404,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/1403\/revisions\/1404"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/4495"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=1403"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=1403"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=1403"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}